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General NPI Number Information
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NPI Number | 1366645269
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Entity Type | Individual
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Provider Name | JENNIFER KATHRYN PARRELLA M.S., LPC, LCMHC, NC
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Gender | Female
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 09/19/2020
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Provider Practice Location Address
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Address Line | 5000 LEATHERBACK RD
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City | WOODBRIDGE
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State | VA
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Zip | 22193-5865
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Country | US
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Telephone | 910-620-1642
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 LEATHERBACK RD
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City | WOODBRIDGE
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State | VA
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Zip | 22193-5865
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Country | US
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Telephone | 910-620-1642
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6613
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License Number State | NC
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